92328-ORCF Contractor's and/or Mortgagor's Cost Breakdown

Comprehensive Listing of Transactional Documents for Mortgagors, Mortgagees and Contractors

92328_orcf

Transactional Documents for Mortgagees and Contractors

OMB: 2502-0605

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Contractor's and/or Mortgagor's Cost Breakdown

Schedules of Values

Section 232


U.S. Department of Housing and

Urban Development

Office of Residential

Care Facilities

OMB No. 2502-0605
(exp. 11/30/2022)

Public reporting burden for this collection of information is estimated to average 4 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The information is being collected to obtain the supportive documentation that must be submitted to HUD for approval, and is necessary to ensure that viable projects are developed and maintained. The Department will use this information to determine if properties meet HUD requirements with respect to development, operation and/or asset management, as well as ensuring the continued marketability of the properties. Response to this request for information is required in order to receive the benefits to be derived from the National Housing Act Section 232 Healthcare Facility Insurance Program. This agency may not collect this information, and you are not required to complete this form unless it displays a currently valid OMB control number. While no assurance of confidentiality is pledged to respondents, HUD generally discloses this data only in response to a Freedom of Information Act request.


Warning: Anyone who knowingly submits a false claim or makes a false statement is subject to criminal and/or civil penalties, including confinement for up to 5 years, fines, and civil and administrative penalties. (18 U.S.C. §§ 287, 1001, 1010, 1012; 31 U.S.C. §3729, 3802).


Date:      

Sponsor:      

FHA Project Number:      

Building Identification:      

Project Name:      

Project Address:      

This form represents the Contractors and/or Borrowers firm costs and services as a basis for disbursing dollar amounts when insured advances are requested. Detailed instructions for completing this form are included at the end.

Line

Div.

Trade Item

Cost

Trade Description

1

3

Concrete

2

4

Masonry

3

5

Metals

4

6

Rough Carpentry

5

6

Finish Carpentry

6

7

Waterproofing

7

7

Insulation

8

7

Roofing

9

7

Sheet Metal

10

8

Doors

11

8

Windows

12

8

Glass

13

9

Lath and Plaster

14

9

Drywall

15

9

Tile Work

16

9

Acoustical

17

9

Wood Flooring

18

9

Resilient Flooring

19

9

Painting and Decorating

20

10

Specialties

21

11

Special Equipment

22

11

Cabinets

23

11

Appliances

24

12

Blinds and Shades, Artwork

25

12

Carpets

26

13

Special Construction

27

14

Elevators

28

15

Plumbing and Hot Water

29

15

Heat and Ventilation

30

15

Air Conditioning

31

16

Electrical

32

Subtotal (Structures)

33

Accessory Structures

34

Total (Lines 32 and 33)






Line

Div.

Trade Item

Cost

Trade Description

35

2

Earth Work

36

2

Site Utilities

37

2

Roads and Walks

38

2

Site Improvements

39

2

Lawns and Planting

40

41

2

Unusual Site Condition Total Land Improvements

Nonresidential and Special Exterior Land Improvement (costs included in trade item breakdown)

Offsite Costs

(costs not included in trade item breakdown)

42

Total Struct. & Land Imprvts.

Description

Est. Cost

Description

Est. Cost

43

1

General Requirements

44

Subtotal (Lines 42 and 43)

45

Builder's Overhead

46

Builder's Profit

Total $

47

Subtotal (Lines 44 thru 46)

Other Fees

Total $

48

Demolition

(costs not included in trade item breakdown)

49

Other Fees

50

Bond Premium

Description

Est. Cost

51

Total for All Improvements

52

Builder's Profit Paid by Means Other Than Cash

53

Total for All Improvements Less Line 52

Total $

Total $



I hereby certify that all the information stated herein, as well as any information provided in the accompaniment herewith, is true and accurate.


Borrower

Signature:

Date:      

Contractor

Signature:

Date:      

ORCF Authorized Agent

Date

Signature:

Date:      



Instructions for Completing Form HUD-92328-ORCF

This form is prepared by the contractor and/or borrower as a requirement for the issuance of a firm commitment. The firm replacement cost of the project also serves as a basis for the disbursement of dollar amounts when insured advances are requested. A detailed breakdown of trade items is provided along with spaces to enter dollar amounts and trade descriptions.



Date-Date form was prepared.

Sponsor-Name of sponsor or sponsoring organization.

FHA Project No.-Eight-digit assigned project number.

Building Identification-Number(s) or Letter(s) of each building as designated on plans.

Name of Project-Sponsors designated name of project. Project Location-Street address, city and state.

Division-Division numbers and trade items have been developed from the cost accounting section of the uniform system.

Accessory Structures-This item reflects structures, such as: com­munity, storage, maintenance, mechanical, laundry and project office buildings. Also included are garages and carports or other buildings.

When the amount shown on line 33 is $20,000.00 or 2% of line 32 whichever is the lesser, a separate form HUD-92328-ORCF will be prepared through line 32 for Accessory Structures.

Unusual Site Conditions-This trade item reflects rock excavation, high water table, excessive cut and fill, retaining walls, erosion, poor drainage and other on-site conditions considered unusual.

Cost-Enter the cost being submitted by the Contractor or bids submitted by a qualified subcontractor for each trade item. These costs will include, as a minimum, prevailing wage rates as determined by the Secretary of Labor.

Trade Description-Enter a brief description of the work included in each trade item.

Other Fees-Includable are fees to be paid by the Contractor, such as sewer tap fees not included in the plumbing contract. Fees paid or to be paid by the Mortgagor are not to be included on this form.

Total For All Improvements-This is the sum of lines 1 through 50 and is to include the total builder's profit (line 46).


Line 52-When applicable, enter that portion of the builder's profit (line 46) to be paid by means other than cash and/or any part of the builder's profit to be waived during construction.

Non-Residential and Special Exterior Land Improvement Costs-Describe and enter the cost of each improvement, i.e. on-site parking facilities including individual garages and carports, commercial facili­ties, swimming pools with related facilities and on-site features pro­vided to enhance the environment and livability of the project and the neighborhood. The Design Representative and Cost Analyst shall collaborate with the borrower or their representative in designating the items to be included.

Off-Site Costs-Enter description and dollar amount including fees and bond premium for off-site improvements.

Demolition-Enter description and dollar amount of demolition work necessary to condition site for building improvements including the removal of existing structures, foundations, utilities, etc.

Other Fees-Enter a brief description of item involved and cost estimate for each item.

Signatures-Enter the firm name, signature of authorized officer of the contractor and/or Borrower and date the form was completed.



Previous versions obsolete Page 10 of 13 Form HUD-92328-ORCF (06/2019)

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